Gero-Health assessment of older adult chapter 7 Flashcards
1
Q
What is the “FANCAPES” assessment and what is it used for?
A
- Comprehensive Physical Assessment Tool for Older Adults
- Determine basic needs; Functionability to meet those needs.
2
Q
What does the “F” in FANCAPES stand for? What is commonly asked in this section?
A
- “Fluid” or hydration
- What is the current state of hydration?
-Does the person functional capacity to consume adequate fluids, ability to sense
thirst, obtain needed fluids, and swallowing and excreting them?
3
Q
What does the “A” in FANCAPES stand for? What is commonly asked in this section?
A
- Aeration
- Pulmonary & Cardiovascular (oxygen stats, SOB/deep breathing, chest pain, cyanosis, pressure, HR, RR)
- Is the person’s oxygen exchange adequate oxygen saturation of >92%?
- Is supplemental oxygen required?
- What is the respiratory rate & depth at rest and during activity, talking, walking, exercising, and while performing ADLs?
4
Q
What does the “N” in FANCAPES stand for? What is commonly asked in this section?
A
- Nutrition
- (lack of protein is a major issue, they can’t chew as well of they don’t like certain things; no protein means they get healthier and become weaker- leads to frailty and morbidity)
- What mechanical and physical factors are affecting the person’s ability to obtain and benefit from adequate nutrition?
- What is the type and amount of food consumed?
- Does the person have the ability to bite, chew, and swallow?
- What impact does the oral health status or periodontal disease have?
- For edentulous persons, do the dentures fit properly and are they worn?
- Does the person understand the need for special diets?
- Has the diet been designed so that it is consistent with the person’s eating and cultural patterns?
- Can the person afford the special foods needed?
- If the person is at risk for aspiration, including those who are tube fed, have preventative strategies been taught?
5
Q
What does the “C” in FANCAPES stand for? What is commonly asked in this section?
A
- Communication
- (Ability to communicate- Can they speak to you?, Hear you?, Visually (can they point) can alter their self care)
- Is the person able to communicate his or her needs adequately?
- Do the care providers understand the person’s form of communication?
- What is the person’s ability to hear in various environments?
- Are there any environmental situations in which understanding of the spoken word is inadequate?
- If the person depends on lip-reading, is his or her vision adequate?
- Does the person have either expressive or receptive aphasia, and if so, has a speech pathologist been made available?
- What is the person’s reading comprehension and auditory comprehension level?
6
Q
What does the “A” in FANCAPES stand for? What is commonly asked in this section?
A
- Activity
- (Participate in physical activity, the ability to continue to ambulate safely, risk for fall increases, the need for assistive devices may rise)
- Is the person able to participate in the activities necessary to meet basic needs such as toileting, grooming, and meal preparation?
- How much assistance is needed, if any, and is someone available to provide this?
- Is the person able to participate in activities that meet higher levels of needs such as belonging or finding meaning in life?
- What is the person’s ability to voluntarily move about with or without assistive devices?
- Does the person have the coordination, balance, ambulatory skills, finger dexterity, grip strength, and other capacities necessary to participate fully in day-to-day life?
7
Q
What does the “P” in FANCAPES stand for? What is commonly asked in this section?
A
- Pain
- (Physical, emotional, spiritual (one rarely occurs in isolation; when you hurting physically you may be hurting emotionally)
- Is the person experiencing physical, psychological, or spiritual pain?
- Is the person able to express pain and desire for relief?
- Are these cultural barriers that make the assessment or expression of pain difficult?
- How does the person customarily attain pain relief?
8
Q
What does the “E” in FANCAPES stand for? What is commonly asked in this section?
A
- Elimination
- Constipation; Incontinence (can result from cognitive changes that may cause a reduced, or even nonexistent, sensation indicating a need to void or defecate)
- Is the person having difficulty with bladder or bowel elimination?
- Is there a lack of control?
- Does the environment interfere with elimination and related personal hygiene?
- Are any assistive devices used, and if so, are they available and functioning?
- If there are problems, how are they affecting the person’s social functioning?
9
Q
What does the “S” in FANCAPES stand for? What is commonly asked in this section?
A
- Social Skills
- Interactions with others
- Is the personable to negotiate relationships in society, to give and receive love and friendship, and to feel self-worth?
10
Q
What is the “SPICES” assessment and what is it used for?
A
- Useful for determining areas where further assessment is needed.
- Not a “stand alone” tool- may direct/lead to the use of other evaluation tools (yes/no)- answering.
S is for Sleep Disorders P is for Problems with Eating or Feeding (Nutrition) I ncontinence C is for Confusion E is for Evidence of Falls S is for Skin Breakdown
11
Q
What kind of assessments are “SPICES” assessment & “FANCAPES” assessment?
A
-Physical Assessment Tools
12
Q
What kind of assessments are “KATZ” assessment, “IADL-Lawton” assessment, “FAST” assessment?
A
-Functional Assessments
13
Q
What is the “KATZ” assessment and what is it used for?
A
-Measures ADL and ability to complete independently or dependently
- independently/ no supervision (1 point)
- inability to complete/ need supervision (0 point)
- Score of 6 indicates full function
- Score of 4 indicates moderate function
- Score of 2 or less means severe functional impairment
Bathing Toileting Dressing Transferring (bed to chair, chair to bed) Feed themselves Continent
14
Q
What is the “FAST” assessment and what is it used for?
A
- Functional Stage of Alzheimer’s and Dementia
- STAGE 1 no functional impairment associated with cognitive impairment - STAGE 7 unable to perform ADLs associated with sever late stage cognitive impairment
- reliable/ valid tool for evaluation of functional decline in persons with Alzheimer’s.
15
Q
What are the 7 functional stages of Alzheimer’s and Dementia?
A
- Normal adult- no decline
- Normal older adult- very mild memory loss (loose keys/purse)
- Early dementia- memory loss starts to become apparent to coworkers, family members (forget bdays, what boss told them to do, forgetting what they went to do)
- Mild dementia- having finance problems/ having problems planning events
- Moderate dementia- need more time to survive, having problems with dressing and picking appropriate clothing, not able to assess and decide, can’t remember address and date.
- Moderate Severe dementia- names, forgetting family, needs help with ADLs, they’re sleeping through the day and staying up the night, become aggressive, blaming others, arguing with them does no good.
- Severe Dementia- speech is lost, incontinence, loss of ability to walk, bed ridden, contracting others, infection occurs (UTI and pneumonia), septic and die
